Successful pregnancy in a patient with diabetic nephropathy treated with an insulin pump and dialysis

Trindade, Thatianne; Sapienza, Andréia David; Francisco, Rossana Pulcineli Vieira; Zugaib, Marcelo

doi:10.1080/14767050903019601

Cited by 1 publication

(2 citation statements)

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“…It is considered that type 1 diabetic patients with nephropathy who are pregnant should use an insulin pump. This patient was well controlled in HbA1c from 9.3% to 6.3% [7]. Because of anemia, we increased IV erythropoietin dose (3,000 IU/wk to >30,000 IU/ wk) without complications.…”

Section: Discussionmentioning

confidence: 87%

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Successful Pregnancy and Childbirth in a Patient with Diabetic Kidney Disease Receiving Hemodialysis

Kim

Jung

Kim

et al. 2012

Soonchunhyang Med Sci

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Pregnancy outcomes for women uncontrolled diabetes mellitus are poor. Women with chronic kidney disease and end-stage renal disease, if pregnant, will develop pregnancy-related complications. In the case of severe renal failure and diabetes mellitus, the incidence of prematurity, low birth weight, and neonatal death increases. Despite these risks, there have been few reported cases of successful pregnancy outcomes for these women. Adherence to a schedule of strict glucose monitoring, blood pressure and volume control, correction of anemia, and intensive hemodialysis may play important roles in the management of these women. Successful pregnancy and childbirth in a patient with diabetic kidney disease receiving hemodialysis have not been previously reported in Korea, to our knowledge. Herein, we report a case of a successful pregnancy outcome in a patient with diabetic end-stage renal disease undergoing hemodialysis.

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Section: Discussionmentioning

confidence: 87%

“…Fortunately, since the advent of insulin therapy, the rates of maternal morbidity and mortality have decreased. Recently, one center reported the case of a type 1 diabetic nephropathy patient who had a successful pregnancy and delivery using an insulin pump [7]. Thus, some centers reported successful cases about DM patients on HD [8].…”

Section: Introductionmentioning

confidence: 99%